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Silvia Rotbart 12/31/2007 tD ..... City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachR.gov OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk TEL: (305) 673-7411, FAX: (305) 673-7254 04-09-2007 Silvia Rotbart 1675 Cleveland Rd Miami Beach, Florida 33141 %uliiECT: - Beautification Committee Congratulations! You have been appointed by Commissioner Matti H. Bower to the agency, board or committee named above for a term ending: 12/31/2007. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1st, 2007, the term of board members who are directly appointed by a member of the City Commission shall automatically expire on December 31 of the year the appointing elected official leaves office. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, Robert Parcher City Clerk cc: Saul Frances, Parking Director John Olden berg ATTACHMENTS: Letter of Appointment Oath City Code Ordinance section, applicable to agency, board or committee City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 Ordinance No. 2006-3543 - Amendment to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics Ordinance City Wide Permit Application - (Parking Department Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employee We ore cammi"ed to providing excellent public service and safety to 01/ who live, work, and ploy in our vibrant, tropical, historic community tD ..... MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachR.gov OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk TEL: (305)673-7411, FAX: (3051 673-7254 TO Silvia Rotbart RE: Beautification Committee I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of a member of the above-mentioned board or committee of the City of Miami Beach to which I have been appointed for a term ending: 12/31/2007. Sworn to and subscribed b *Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. We ore commmed to providing excel/ent public service and safety to 01/ who live, work, and ploy in our vibront, tropical, historic community ~ CITY OF MIAMI BEACH BOARDS AND COMMITTEE APPLlCA liON FORM Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. Resident of Miami Beach for a minimum of six (6) months: Yes ~r No U Demonstrate an ownershiplinterest in a business in Miami Beach for a minimum of six (6) months: Yes If or No U I am applying for a Board appointment because I havelfrecial abilities, knowledge, experience: Yes U IJ My special abilities, knowledge, or experience is:# IJ f!:1f1lIfr1pJ), 5- HeS" I1AiJAf p#"kT I /4-.1/.!fj.p At Are you a registered voter in Miami Beach: Yes U or No J r A(J~MI Last Name ('oN, ~/~ 5 NAME: 17/J-tJ I J4 First Name J-. Middle Initial Home: - rz- , State Address: 1&'1';- CJ..t2tJeJ.-AlltJ !...() JIf/!R1 ~P1lt;f No. Street City Phone: ~dh4t)Y!/3yl ~05~?t/-71J3tj 905~7tf~'7#3r Home Work Fax (Please check one): I am now a resident of: North Beach ~OUth Beach U Middle Beach U Business Name: ~{)~JJ-A1' f ~$tJ("~ . Applicant's Position: A ~q#~ r I1tfP A6P IHLJ 1/7 ~ 1"1 CfJJtt J)5 MJt. {! -?J 11/ Q7II1 ~ P Jft1ff r.:c:-..;f No. Street City State ,t:'owner U Stockholder/Shareholder ~rporate Officer U Other Explain: ~4J 1.,.1 Zip Code '/~;Ae ~()~hfT. (loP Email address Address: '3~ I yO Zip Code Professional License (describe) A. eAA"J1fl..) ~OJ1J1{/AlllV ~J/, U~A.. Attach a copy of the license listed above. 1. Have you ever been convicted of a felony: Yes U or No ~f yes, please explain in detail: Expires: 2. Do you currently have a violation(s) of City of Miami Beach codes: Yes U or No ~f yes, please explain in detail: 3. Do you currently owe the City of Miami Beach any money: Yes U or No I . If yes, explain in detail 4. Are you currently serving on any City Boards or Committees: Yes t/or No U. If yes; which board? 51!-R rj What organizations in the City of Miami Beach do you currently hold membership in? Name: Title: Title: in the City of Miami Beach: '" Ybl &Jf.,t/j.!:; kit tf--t;/OJ-J et. '/l ,<. fJ , Name: I am now employed by the City of Miami Beach: Yes U or NO~ yes, which department? # F:ICLERI$ALLIB&C ApplicationlB&C Application Revised 0911 06.doc Pur$uant to City Code Section 2-25 (b): Do you have a parent U, sM e U, child U. brother U, or sister U who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's OfIIce. (Regular Boards of City) U Art in Public Places Committee U Barrier Free Environment Committee U Beach Preservation Board U Beautification Committee U Board of Adjustment" U Budget Advisory Committee ......~ Committee on Homeless U Committee for Quality Education in MB U Community Development Advisory* U Community Relations Board U Convention Center Advisory Board U Convention Center Capital Projects Oversight U Debarment Committee U Design Review Board* U Fine Arts Board U Golf Advisory Committee U Health Advisory Committee U Health Facilities Au1hority Board U Historic PresejVation Board* rtJ H,~I'AiMe.II-~,L~ *Board RequIred to "File State bfS8l08ure form Note; If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center. J Housing Authority* j loan Review Committee* J Marine Authority- j Miami Beach Cultural Arts Council J Miami Beach Commission on Status of Women J Miami Beach Florida Sister Cities J Normandy Shores Local Gov't Neigh. Improvement J Oversight Committee for General Obligation Bond J Parks and Recreation Facilities Board J Personnel Board- .J Planning Board* j Police Citizens Relations Committee J Production Industry Council .J Public Safety Advisory Committee J Safety Committee tlTransportation and Parking Committee j Visitor and Convention Authority* j Youth Center Advisory Board -'" 1. Past service on the Youth Center Advisory Board: Yes UNo U Years of Service: 2. Present participation in Youth Center activities by your children YeSIJ No U. If yes, please list the names of your children, their ages, and which programs. list below: Chi/d's name: Age: _ Program: Child's name: Age: _ Program; This section Is "not reqUired" but desired: Age: tt:i years old Gender: Male U Femal~ Ethnic Origin (Check one) WhIte14 Afrtcan-AmerlcanlBlack U Hispanic: ~ Asla,( or Pacific Islander U Amerk:an Indian or Alaskan Native U Employment Status: Employed}! Retired U Home-maker U Other U "I hereby attest to the accuracy and truthfulness of the application and have recetved, read and will abide by Chapter 2, ArUcle VII - of e City C e "Standards of Conduct for City Omeara, Employees and Agency Members." App -LtAtt!8: Date S /L.tJ 111- I< tJ 1"73 #-?'fT Name of Applicant (PLEASE PRINT) Attachment: Please attach 8 copy of your resume to your application. NOTE: Applications will remain on file for a period of one (1) calendar year. Received in City Clelit's Office 0 y Document Control Number (Assigned by the City Clerk's Office) q ~ Clelit Date Dat~lll57 I Revised 9/11/06 Ih 2 ~~~l F:IClERI$AllIB&C Application\B&C Application Revised 0911 OS.doc STATE OF FLORIDA DEPARTMENT OF ., PROFESSIONAL AC# 3 0 1 6 1 6 0 BUSINESS AND REGULATION BK129371 01/05/07 060449486 REAL ESTATE BROKER ROTBART, SILVIA IS. LICENSED unde th .' r e ,provisions of Ch 47 r: Rxpiratioo date, MAR 31- 2009' . :J FS. . ' 'L07010S01621 ---~ ~STATE ()F FLORltlA'~.'"- . AC# 2 6 5n4~'6 DEPARTMENT OF BUSINESS AND c:.' PROfESSIONAL REGUL~TIONc - . f" -' _ .~-2 07/09/06 06Q0111~7 . CAM28666 \"\ " :,,:,,'j: (.~ .' .;"""COMMUNITY ASSOCIATION . ,"iROTBART, SILVIA ~ ",,;l.\ MANAGER _," >-__. I _" I(LICENSEI),Wide!,_'~heprov;Dions.' of ch.~68 Fl!. -;; .Bxpiratioo'd.ata,' ,SEPC)0 ,.; 2008 'L0607090.1082:-c'